In this detailed surgical video, viewers can observe step-by-step port placement, uterine dissection, mesh fixation to the sacral promontory, and precise suturing techniques ensuring optimal anatomical restoration. The video is designed for gynecologists and minimally invasive surgeons seeking to enhance their understanding of advanced pelvic reconstructive surgery.

Surgical treatment of prolapse may include sacrospinous fixation of the vagina to the sacrospinal anterior longitudinal ligament using non absorbable suture with application of prolene mesh after supracervical hysterectomy. Use of the laparoscopy and therefore lack of abdominal incisions, is the main advantage of this approach.
 

Supracervical Hysterectomy and Sacrocolpopexy at World Laparoscopy Hospital

Supracervical hysterectomy combined with sacrocolpopexy represents one of the most refined procedures in modern minimal access gynecologic surgery. At World Laparoscopy Hospital (WLH), this advanced laparoscopic technique is performed with precision, safety, and adherence to international surgical standards, offering women effective management for uterine pathology associated with pelvic organ prolapse.

Understanding the Procedure

A supracervical hysterectomy involves removal of the uterine body while preserving the cervix. This approach is often chosen when the cervix is healthy and there is no indication for its removal. Preserving the cervix may help maintain pelvic floor support and can sometimes contribute to better postoperative pelvic stability.

Sacrocolpopexy, on the other hand, is a gold-standard procedure for correcting apical pelvic organ prolapse. It involves suspending the vaginal vault (or cervical stump in supracervical hysterectomy cases) to the sacral promontory using a synthetic mesh. This restores normal vaginal axis and pelvic anatomy, significantly improving functional outcomes and quality of life.

When these two procedures are combined laparoscopically, they provide both definitive treatment of uterine disease (such as fibroids, abnormal bleeding, or adenomyosis) and long-term correction of pelvic organ prolapse.

Indications

At WLH, supracervical hysterectomy with sacrocolpopexy is typically indicated in patients with:

• Symptomatic uterine prolapse

• Pelvic organ prolapse involving the uterus and vaginal apex

• Benign uterine conditions requiring hysterectomy

• Recurrent prolapse after previous repair

• Desire for durable anatomical correction

Careful preoperative evaluation, including pelvic examination and imaging when necessary, ensures appropriate patient selection.

Laparoscopic Technique at WLH

Under general anesthesia, the patient is positioned in lithotomy with steep Trendelenburg. After establishing pneumoperitoneum, laparoscopic ports are inserted.

Step 1: Supracervical Hysterectomy

• The round ligaments, ovarian ligaments, and uterine vessels are carefully sealed and divided.

• The uterine body is detached from the cervix.

• The specimen is removed, often via morcellation when appropriate.

• The cervical stump is preserved and prepared for mesh fixation.

Step 2: Sacrocolpopexy

• The peritoneum over the sacral promontory is incised.

• A synthetic mesh is attached to the anterior and posterior aspects of the cervical stump or vaginal vault.

• The other end of the mesh is secured to the anterior longitudinal ligament over the sacral promontory.

• The peritoneum is closed over the mesh to prevent bowel contact.

At World Laparoscopy Hospital, surgeons emphasize meticulous dissection, correct mesh placement, and tension-free fixation to minimize complications and ensure long-term durability.

Advantages of the Laparoscopic Approach

The minimally invasive technique offers numerous benefits:

• Reduced blood loss

• Minimal postoperative pain

• Shorter hospital stay

• Early ambulation and recovery

• Lower infection rates

• Excellent cosmetic results

• High long-term success rate in prolapse correction

The laparoscopic magnification allows precise identification of vital structures such as ureters, major vessels, and nerves, thereby enhancing safety.

Training and Surgical Excellence

WLH is internationally recognized for its structured laparoscopic and robotic surgery training programs. Surgeons performing supracervical hysterectomy and sacrocolpopexy are extensively trained in advanced pelvic reconstructive techniques. Live surgical demonstrations, step-by-step procedural teaching, and hands-on simulation ensure mastery of complex pelvic anatomy.

The hospital follows evidence-based protocols and continuously updates techniques in accordance with global standards, ensuring optimal patient outcomes.

Postoperative Care and Outcomes

Patients usually resume oral intake within hours and are discharged within 24–48 hours. Follow-up includes monitoring for mesh-related complications, urinary symptoms, and prolapse recurrence. Long-term outcomes at WLH demonstrate excellent anatomical correction, improved urinary and bowel function, and significant enhancement in quality of life.

Conclusion

Supracervical hysterectomy combined with sacrocolpopexy is a sophisticated and highly effective solution for women suffering from uterine pathology with pelvic organ prolapse. At World Laparoscopy Hospital, the procedure reflects the institution’s commitment to surgical innovation, patient safety, and academic excellence. Through advanced laparoscopic expertise and comprehensive training programs, WLH continues to set benchmarks in minimally invasive gynecologic surgery worldwide.